LOUISVILLE, Ky. — An inmate with Mafia ties is asking a judge to have a heart, claiming his own ticker is in such bad shape, he just had to escape from federal custody to seek help.

Derek A. Capozzi, convicted in a gangster-related killing in Massachusetts, said he kicked out the back of a U.S. Marshals transport van in April 2010 because he can”t get the medical care he needs while behind bars.

Prosecutors said when he was on the lam for several days, he didn”t seek any treatment. And when he was captured in a Dairy Queen parking lot in central Kentucky, marshals said, he had a different excuse for escape: “I”m pulling 53 years.”

Capozzi is to appear before U.S. District Judge Joseph M. Hood on Monday in Lexington on a federal escape charge.

Capozzi is in prison for his role in the 1996 killing and dismemberment of 19-year-old Aislin Silva. She was ordered killed by the leader of the Mafia-affiliated gang that Capozzi belonged to, so she wouldn”t be able to cooperate with federal investigators, prosecutors said.

Capozzi claimed in court documents that several doctors have determined he needs to have his heart repaired after he was stabbed in the chest in 2008 while in a federal prison in California.

“In the time leading up to his escape and subsequent to his apprehension, (Capozzi) experienced irregular heartbeats and restrictions of breath,” his attorney, Steven Milner, wrote in court documents.

Capozzi contends he has repeatedly been assured his heart problem will be addressed, but each time he is transferred to another state before anything is done.

The judge has not been persuaded by Capozzi”s medical pleas, ruling the inmate may not argue that he tried to escape to seek medical attention.

“Moreover, there has been no explanation as to why he believed that escape would provide him sufficient opportunity to seek competent medical care without further interference by (Bureau of Prisons) officials or law enforcement officers, given that he must have known that he would be the subject of an extensive manhunt,” Hood wrote.

Motions filed Friday indicate Capozzi intends to plead guilty but reserve the right to appeal the judge”s rejection of his medical necessity defense.

Assistant U.S. Attorney Patrick Malloy has said Capozzi didn”t seek medical help after his escape.